Organization · Type 2 NPI
Premise Health of Indiana Medical, P.c.
Primary Care Clinic/Center · Jamestown, IN
NPI number
1356925259
Active
Practice location
1100 N Lebanon St Ste 2
Jamestown, IN 46147-9381
Fax (765) 577-5932
Mailing address
5500 Maryland Way Ste 120
Brentwood, TN 37027-4993
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1356925259
Premise Health of Indiana Medical, P.c.'s National Provider Identifier is 1356925259, issued on May 7, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Jamestown, IN. The record was last updated on Aug 25, 2022.